Introduction
Graduate nurses face numerous hurdles during their academic journey, including demanding academic workloads, rapid advancements in medical technology, substantial responsibilities, and limited mentorship and financial resources. While some nurses navigate these challenges effectively, others struggle persistently, highlighting the critical need for adequate support from educational institutions and healthcare organizations [
1,
2].
Academic motivation, as defined by Bozanoglu (2004), is the driving force behind academic engagement and activities [
3]. Self-determination theory emphasizes its pivotal role in academic growth and performance, highlighting its ability to fuel energy, self-regulation, and overall learning capacity [
4]. Academic motivation can be categorized into intrinsic and extrinsic types [
4]. Intrinsic motivation originates from within, driven by the inherent enjoyment and satisfaction of learning and personal growth [
3,
5]. On the other hand, extrinsic motivation is fueled by external rewards, such as grades, recognition, or avoidance of punishment [
5,
6].
Both intrinsic and extrinsic motivation play critical roles in encouraging graduate nurses to pursue their studies [
5,
7]. Intrinsic factors often include a strong desire for personal growth, achievement, and knowledge acquisition [
8]. Self-perceived competence, as emphasized by the Self-Determination Theory, is crucial for shaping motivational behaviors and encouraging goal completion [
4]. Graduate nurses who perceive themselves as capable and effective learners are more likely to invest significant effort in achieving their academic objectives [
4]. Robust intrinsic motivation significantly reduces the likelihood of program dropout in graduate nursing education [
9].
Extrinsic factors such as family support, professional aspirations, program duration, and the COVID-19 pandemic can influence academic motivation [
7,
10‐
12]. The pandemic has emerged as a significant extrinsic factor impacting graduate nurses’ motivation in Egypt, leading to decreased control over learning, reduced engagement preferences, and diminished feelings of competence and autonomy, primarily due to the shift to online learning formats [
13,
14].
Social support from family, teachers, friends, and peers significantly enhances academic motivation [
15‐
17]. In Egypt, the social integration of graduate nursing candidates profoundly impacts their study motivation, mental well-being, and academic performance [
15,
16]. Studies investigating the relationship between social integration, support, and academic motivation reveal a synergistic effect, significantly amplifying motivational levels [
18,
19]. Social support acts as a protective factor, fostering feelings of security and contributing to overall physical and mental well-being [
18]. Research also suggests that students’ motivational needs and perceived support may vary throughout their academic journey [
3,
6,
20]. Notably, graduate nursing candidates often exhibit high motivation levels at the program’s offset, which tend to decrease as they progress [
11,
12,
16].
Previous studies primarily focused on undergraduate nursing education, overlooking the unique dynamics [
15,
16]. While existing research has independently explored academic motivation and perceived social support in various contexts, their interplay within the specific environment of graduate nursing education in Egypt still needs to be explored. This research gap necessitates a deeper understanding of how these factors interact and influence graduate nursing candidates’ experiences. This study addresses this critical need by investigating the relationship between academic motivation and PSS in Egypt’s graduate nursing education context. Uncovering valuable insights into how graduate nursing students perceive their motivation and access to support can inform the development of effective programs and interventions. These interventions can bolster academic motivation, enhance performance, and ultimately contribute to advancing graduate nursing education in Egypt. This study aimed to achieve this goal by exploring the relationship between academic motivation and PSS among graduate nursing candidates in Egypt.
Research questions
-
What are the levels of academic motivation and perceived social support among graduate nursing candidates?
-
What is the relationship between academic motivation and perceived social support among graduate nursing candidates?
-
Which factors predict academic motivation among graduate nursing candidates?
Results
Table
1 displays the sociodemographic characteristics, academic motivation, and participants’ perceived social support. Most of the participants (71.0%) were female. In terms of age, 67.1% of them were 25 years or older. Most participants (84.0%) resided in urban areas, and 97.0% lived with their families. Regarding educational levels, 32.4% were enrolled in a nursing diploma program, 45.9% in a master’s program, and 21.7% were pursuing a doctorate. Regarding social and recreational activities, a significant majority (94.6%) of the participants engaged in such activities. The most popular activities included visiting relatives and friends (78.3%), going to social clubs (69.8%), and going on trips (63.4%). Additionally, 29.8% of the participants reported engaging in sports activities, and 31.2% participated in art and music activities. The average academic motivation and perceived social support scores were 88.54 (SD = 30.07) and 5.20 (SD = 1.30).
Table 1
Sociodemographic characteristics, academic motivation, and perceived social support among the participants
Sex | Male | 119 | 29.0 |
| Female | 291 | 71.0 |
Age | <25 | 135 | 32.9 |
25 – | 275 | 67.1 |
Residence | Urban | 336 | 84.0 |
Rural | 74 | 16.0 |
Living Status | With family | 398 | 97.0 |
Alone | 12 | 3.0 |
Educational levels | Nursing Diploma | 133 | 32.4 |
Nursing Master | 188 | 45.9 |
Nursing Doctorate | 89 | 21.7 |
# Social and Recreational Activities | Yes | 388 | 94.6 |
No | 22 | 5.4 |
Visiting relatives and friends | 321 | 78.3 |
Going to social clubs | 286 | 69.8 |
Doing sports | 122 | 29.8 |
Doing art and music activities | 128 | 31.2 |
Going to trips | 260 | 63.4 |
Academic Motivation | Mean (SD) | 88.54 | 30.07 |
Perceived Social Support | Mean (SD) | 5.20 | 1.30 |
Table
2 delves into the relationships between various dimensions of academic motivation and perceived social support (PSS), addressing the second research question. The findings reveal significant positive correlations between intrinsic motivation (to know, accomplish, and experience stimulation) and PSS (r = 0.554, 0.265, and 0.472, respectively;
p < 0.001 for all). Turning to extrinsic motivation, identified regulation, introduced regulation, and external regulation demonstrate statistically significant positive correlations with PSS (r = 0.423, 0.472, and 0.280, respectively;
p < 0.001 for all). Conversely, motivation exhibits a statistically significant negative correlation with PSS (r = -0.199,
p < 0.001).
Table 2
Relationship between different dimensions of motivation and perceived social support
Intrinsic motivation – to Know | r P | | 0.288** < 0.001 | 0.348** < 0.001 | 0.369** < 0.001 | 0.344** < 0.001 | 0.378** < 0.001 | 0.368** < 0.001 | 0.228** < 0.001 | 0.146** 0.003 | 0.206** < 0.001 | 0.164** < 0.001 | 0.554** < 0.001 |
Intrinsic motivation – towards accomplishment | r P | | | 0.415** < 0.001 | 0.258** < 0.001 | 0.634** < 0.001 | 0.428** < 0.001 | 0.412** < 0.001 | 0.413** < 0.001 | 0.160** 0.001 | 0.148** 0.003 | 0.147** 0.003 | 0.265** < 0.001 |
Intrinsic motivation – to experience stimulation | r P | | | | 0.428** < 0.001 | 0.561** < 0.001 | 0.391** < 0.001 | 0.368** < 0.001 | 0.508** < 0.001 | 0.255** < 0.001 | 0.338** < 0.001 | 0.268** < 0.001 | 0.472** < 0.001 |
Extrinsic motivation- identified | r p | | | | | 0.367** < 0.001 | 0.421** < 0.001 | 0.452** < 0.001 | 0.621** < 0.001 | 0.238** < 0.001 | 0.354** < 0.001 | 0.269** < 0.001 | 0.423** < 0.001 |
Extrinsic motivation— introjected | r p | | | | | | 0.578** < 0.001 | 0.528** < 0.001 | 0.369** < 0.001 | 0.212** < 0.001 | 0.339** < 0.001 | 0.222** < 0.001 | 0.472** < 0.001 |
Extrinsic motivation- external regulation | r P | | | | | | | 0.469** < 0.001 | 0.258** < 0.001 | 0.428** < 0.001 | 0.516** < 0.001 | 0.469** < 0.001 | 0.280** < 0.001 |
A motivation | r P | | | | | | | | 0.459** < 0.001 | 0.214** < 0.001 | 0.292** < 0.001 | 0.204** < 0.001 | − 0.199** < 0.001 |
Total of AMS-C 28 | r P | | | | | | | | | 0.279** < 0.001 | 0.398** < 0.001 | 0.303** < 0.001 | 0.515** < 0.001 |
Family Support | r p | | | | | | | | | | 0.816** < 0.001 | 0.856** < 0.001 | 0.949** < 0.001 |
Friends Support | r p | | | | | | | | | | | 0.814** < 0.001 | 0.937** < 0.001 |
Significant Others Support | r p | | | | | | | | | | | | 0.935** < 0.001 |
Total of MSPSS | r p | | | | | | | | | | | | |
Finally, the overall score of academic motivation displays statistically significant positive relationships with the family, friends, and significant other support subscales, and the total PSS score (r = 0.279, 0.398, 0.303, and 0.515, respectively; p < 0.001 for all).
Table
3 explores the influence of demographic characteristics on academic motivation. Sex, age, residence, living status, and general participation in social and recreational activities do not significantly impact academic motivation. However, a statistically significant score difference emerges based on educational level (F = 4.014,
p = 0.019). Specifically, candidates holding a nursing diploma exhibited the highest average score. Additionally, within the category of social and recreational activities, the type of activity engaged in demonstrates a significant difference in scores (F = 4.860,
p = 0.001). Sports, art, and music activities had the highest average scores.
Table 3
Relationship between sociodemographic characteristics of the participants and academic motivation (n = 410)
Sex | Male | 86.71 (19.59) | t = 1.293 p = 0.197 |
| Female | 89.36 (18.47) |
Age | < 25 | 86.63 (19.10) | t = 1.500 p = 0.134 |
25 – | 89.58 (18.63) |
Residence | Urban | 88.05 (19.36) | t = 1.178 p = 0.239 |
Rural | 90.85 (16.35) |
Living Status | With family | 88.66 (18.64) | t = 0.361 p = 0.718 |
Alone | 86.67 (24.84) |
Educational levels | Nursing Diploma | 92.33 (15.47) | F = 4.014* p = 0.019 |
Nursing Master | 87.0 (20.57) |
Nursing Doctorate | 86.66 (19.83) |
Social and Recreational Activities | Yes | 88.6119.15 | t = 0.032 p = 0.975 |
No | 88.48 (12.04) |
Visiting relatives and friends | 88.58 (19.28) | F = 4.860* p = 0.001 |
Going to social clubs | 88.93 (18.16) |
Doing sports | 93.62 (15.32) |
Doing art and music activities | 93.24(15.38) |
Going to trips | 86.29 (19.91) |
Table
4 presents findings from the hierarchical regression analysis, examining predictors of academic motivation. In the first step, perceived social support emerges as a significant positive predictor, explaining approximately 12.2% of the variance in academic motivation (Adjusted R² = 0.120). The model’s constant term is 61.082, with a statistically significant t-value of 16.269 (
p < 0.001). The unstandardized coefficient (B) is 5.591, while the standardized coefficient (Beta) is 0.350, indicating a 5.591 increase in academic motivation for every unit increase in perceived social support. The second step incorporates both perceived social support and educational levels as predictors. This statistically significant model accounts for approximately 12.9% of the variance in academic motivation (Adjusted R² = 0.129). The constant term is 66.461, with a statistically significant t-value of 15.098 (
p < 0.001). Notably, educational level emerges as a significant negative predictor in the model. Its unstandardized coefficient (B) is -2.748, its standardized coefficient (Beta) is -0.107, and its p-value is 0.021. This indicates that holding all other variables constant, academic motivation decreases as the level of education increases. This finding suggests that doctoral candidates experienced lower levels of academic motivation.
Table 4
A hierarchical regression analysis between academic motivation, perceived social support, and other covariates. (n = 410)
Step1 | (Constant) | 61.082 | 3.755 | | 16.269 | < 0.001* | | | | | |
| MSPSS | 5.591 | 0.742 | 0.350 | 7.535 | < 0.001* | 56.777 * | < 0.001* | 0.350 | 0.122 | 0.120 |
Step2 | (Constant) | 66.461 | 4.402 | | 15.098 | < 0.001* | | | | | |
| MSPSS | 5.551 | 0.738 | 0.347 | 7.519 | < 0.001* | 31.354 | < 0.001* | 0.365 | 0.134 | 0.129 |
| Educational levels | -2.748 | 1.191 | -0.107 | -2.308 | 0.021* |
Discussion
Graduate nursing education demands an equally strong, if not more robust, academic motivation than other disciplines. Delivering high-quality nursing services necessitates equipping nursing candidates with a persistent desire to learn and adapt as the field advances, alongside the drive to acquire extensive knowledge and skills [
24]. Motivation is crucial in directing individuals toward their goals, and its strength or weakness significantly impacts goal achievement [
25]. Identifying the factors influencing academic motivation across diverse academic groups and levels can pave the way for strategies to eliminate, mitigate, or enhance these motivating aspects. Therefore, this study explored the relationship between academic motivation and perceived social support among graduate nursing candidates.
Graduate candidates in the study generally displayed moderate levels of academic motivation. Their scores were high in “intrinsic motivation towards accomplishment” and “intrinsic motivation to know,” indicating a strong desire for personal achievement and intellectual growth. However, their interest in seeking novelty or excitement was slightly lower. Their scores on extrinsic motivation (identified, introduced, and external regulation) were also moderate. This could be attributed to the specific nature of graduate studies, which often require high levels of self-direction and intrinsic motivation to succeed. The structured nature of nursing academic programs also limits opportunities for novel experiences that might otherwise enhance extrinsic motivation. Additionally, the rewards of graduate studies, such as career advancement or increased earning potential, are often delayed, potentially diminishing their motivational impact.
Moreover, the majority of the participants being female could influence these results, as previous research suggests possible gender differences in motivation. This aligns with the findings by Adib et al. (2019), who identified a strong positive correlation between academic motivation and self-directed learning [
26]. Since self-directed learners are known for their strong desire to learn, motivation becomes crucial to their success. Vahedian-Azimi and Moayed (2021) conducted a cross-sectional study involving 220 graduate nursing candidates across ten nursing schools. Using the Vallerand Academic Motivation Scale, they investigated the relationship between academic motivation and self-esteem. Their findings indicated that graduate nursing candidates demonstrated moderate motivation to study, with 57.3% achieving scores exceeding 129 out of 196 on the academic motivation scale [
27].
Conversely, Fatima et al. (2021) found that nursing candidates exhibited higher levels of extrinsic than intrinsic motivation [
28]. The primary drivers of their extrinsic motivation were the desire for a well-paying career and a comfortable life. Elbsuony (2016) also conducted a study in Saudi Arabia that revealed poor academic motivation among nurses [
29].
This study found that, although no significant differences were observed in academic motivation based on gender, age, residence, or living status, educational level emerged as a key influencer. Notably, candidates enrolled in nursing diploma programs demonstrated higher average academic motivation than those in master’s and doctorate programs. This finding was further supported by the observation that educational level emerged as a significant negative predictor, accounting for 12.9% of the variance in academic motivation (adjusted R² = 0.129). This means that academic motivation tends to decrease as the level of education increases.
Several potential explanations exist for this phenomenon. Firstly, transitioning from the practical, hands-on curriculum of nursing diploma programs to the more research-oriented environment of master’s and doctorate programs can be challenging for many candidates. These higher-level programs often require a strong foundation in research methodology, which may not be emphasized in nursing diploma programs. This can lead to a steep learning curve for candidates, potentially impacting their motivation. Secondly, the emphasis on independent study and self-directed learning in higher-level programs can be problematic for students accustomed to structured learning environments. This shift in learning style can require significant adaptation and adjustment, which may present challenges for some candidates.
Finally, the pressure to produce original research and contribute to the academic community can be daunting for many candidates, particularly those in master’s and doctorate programs. This pressure can negatively impact their motivation and overall academic performance.
These findings highlight the importance of understanding the factors influencing academic motivation among graduate nursing candidates. By recognizing the specific challenges candidates face in different educational programs, we can develop interventions and tailored teaching approaches to better support their needs and foster a more positive learning environment. Additionally, investigating the impact of research methodology training and exploring strategies to assist candidates in transitioning to independent learning styles hold promise for further enhancing academic motivation in this population.
These findings aligned with Gumusgul and Gumugul (2019), who demonstrated that academic motivation and gender were not statistically significant [
30]. Age and the motivation sub-dimension showed significant differences. It has been noted that motivation decreases with aging. It is believed that while older candidates understand the long-term benefits of education, younger candidates are more motivated to excel academically. Conversely, according to Heidarian et al. (2015), years of service, gender, age, hiring status, marital status, and academic degree are significant variables that affect motivating factors [
31]. Furthermore, recreational sports participation and academic motivation reveal significant differences between the participants. Engaging in physical and recreational activities is a powerful extrinsic motivator that fosters a sense of autonomy and self-direction and may inspire future planning.
The present study’s findings reveal that most graduate nursing candidates reported experiencing moderate levels of perceived social support (PSS) across the three categories of family, friends, and significant others. Despite residing in urban areas with their families and maintaining regular contact with relatives, participants’ perceptions of support remained moderate. This may be attributed to the demanding nature of the nursing profession and the rigorous academic requirements of graduate-level studies. Additionally, the availability and accessibility of academic support and guidance at the university may influence perceived social support levels. These factors can shape how individuals perceive the support they receive, ultimately resulting in the observed moderate levels of PSS. These findings align with those of Abdel El-Halem (2011) [
16] and Jeong and Koh (2021) [
32], who emphasized the crucial role of family, friends, colleagues, and academic support in the lives of graduate nursing candidates.
Conversely, when individuals lack expected support from their network, feelings of isolation during graduate studies may intensify. This underscores the critical need for sufficient support for graduate nursing candidates. In contrast, Radeef and Faisal (2020) found that undergraduate nursing students reported experiencing higher levels of social support [
33].
This study revealed a positive association between academic motivation and support from friends, family, and significant others (r = 0.279, 0.398, 0.303,
p < 0.001). Furthermore, our stepwise regression analysis demonstrates that perceived social support (PSS) significantly predicts academic motivation, accounting for 12.2% of the variance (adjusted R² = 0.120). This association could be attributed to the diverse roles of PSS, which encompass nurturing, empathy, encouragement, information provision, material assistance, and sharing of experiences. Additionally, PSS can contribute to higher mastery goals, reduced performance-avoidance goals, decreased test anxiety, and enhanced academic motivation and achievement [
32]. Social support, rather than its actual presence, can serve as a protective factor for individuals navigating through different stress levels, in line with the perception findings of Waleed & Ihab (2021) [
34]. Their multiple regression analysis identified perceived social and family support (13.5%), social anxiety (1.9%), and self-esteem (1.1%) as the most significant factors explaining the variance in learning motivation. Similarly, Emadpoor et al. (2016) found that academic motivation mediates and indirectly affects psychological well-being, accounting for 13% of the variance in academic motivation through PSS [
35]. Moreover, Mostafa and Lim (2020) stated that social expectations, including the expectation of social support, increased social mobility, and positive student-teacher relationships, significantly influence female candidates’ academic motivation to pursue their degrees [
36].
Despite the critical role of academic motivation and social support in nursing education, more research is needed to understand the relationship between these variables in the North Africa and the Middle East (MENA) region, especially among graduate nursing candidates. This study aims to bridge this gap by exploring these connections. Interestingly, a comprehensive review revealed only a handful of studies in Egypt that have produced similar findings, highlighting this research’s unique and significant contribution.
Study limitations
The present study has some limitations that the researchers would like to acknowledge. First, our analysis relied on self-reported data regarding perceived social support and academic motivation. As such, biases in the measurement process may have impacted our findings. Additionally, the study was conducted with a relatively small sample size, potentially limiting the generalizability of the results. Future research employing longitudinal designs to track motivation over time and mixed-methods approaches to gain a more comprehensive understanding of academic motivation is recommended. Furthermore, investigations into other potential influencing factors, such as critical thinking, humor, teaching strategies, and academic and psychological counseling, are warranted to provide a more nuanced understanding of academic motivation and perceived social support.
Conclusion and recommendations
This study revealed that intrinsic motivation, especially the desire to learn and achieve personal goals, was the primary driver for participants, while extrinsic motivation played a moderate role. Notably, academic motivation decreased with higher levels of education, requiring specific interventions for doctoral candidates. Additionally, engagement in social and recreational activities and perceived social support were significant positive predictors of motivation. Therefore, the study recommends interventions to enhance intrinsic motivation, address the decline among doctoral candidates, investigate the role of novelty and stimulation, integrate social and recreational activities, and strengthen perceived social support for graduate nursing candidates.
Nursing implications
This study enriches our understanding of how their perceptions of social support shape graduates’ academic motivation. It can guide academics and researchers in exploring ways to boost graduate students’ motivation to learn. Developing and maintaining new, emotionally invested, and reliable support networks and strengthening pre-existing social bonds that encourage recognition of students’ abilities, competence, and value could be integral components of intervention programs to enhance academic motivation. In nursing education, programs can bolster intrinsic motivation by integrating authentic learning experiences, providing empowering mentorship, offering shorter doctoral programs, and ensuring strong peer support. Exploring novelty’s role in engagement, using innovative teaching methods such as collaborative virtual reality simulations, gamification, and team-based research projects can also be beneficial and foster a more enriching educational experience for graduates.
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